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NR565 Advanced Pharmacology Fundamentals Exam 2024-2025
Question and correct Answer/already graded A+
The process by which drugs are absorbed, distributed within the body, metabolized, and excreted. -
answer>>Pharmacokinetics



The study of what the drug does to the body - answer>>Pharmacodynamics



Rate of dissolution

Surface area

Blood flow

Lipid solubility

pH partitioning - answer>>Factors Affecting Drug Absorption



Blood flow to tissues

Ability to exit the vascular system

Blood-brain barrier

Protein-binding capacity - answer>>Factors Affecting Drug Distribution



substances that are foreign to the body, usually synthetic chemical compounds; medications are a
common example - answer>>Xenobiotics



xenobiotic-metabolizing enzymes necessary for the production of cholesterol and steroids and the
detoxification of chemicals and drug metabolism. - answer>>Cytochrome P450 (CYP450)



responsible for phase 1 metabolism in which drugs are oxidized, reduced, or hydrolyzed -
answer>>Function of Cytochrome P450 (CYP450)



Oxidation; Reduction; Hydrolysis - answer>>Phase 1 Metabolism of Drugs via P450



-Drug becomes completely inactive



-Drug becomes partially inactive but one or more metabolites remain active

,NR565 Advanced Pharmacology Fundamentals Exam 2024-2025
Question and correct Answer/already graded A+

-Original drug is not pharmacologically active but one metabolite remains active - answer>>Three
possible outcomes of phase 1 drug metabolism.



Medications that can increase the rate of another drug's metabolism by elevating CYP450 enzyme
activity via increasing enzyme synthesis. decreasing the concentration of the "parent drug" -
answer>>CYP450 Inducers



CRAPGPS

Carbamazepine

Rifampin

Alcohol

Phenytoin

Griseofulvin

Phenobarbital

Sulfonylureas - answer>>CYP450 Inducer Medications



Medications that inhibit the metabolic activity of one or more of the CYP450 enzymes. Higher risk for
toxicity; prolongs the pharmacological effect of the "parent drug". - answer>>CYP450 Inhibitors



VISACKGQ

Valproate

Isoniazid

Sulfonamides

Amiodarone

Chloramphenicol

Ketoconazole

Grapefruit Juice

Quinidine - answer>>CYP450 Inhibitor Medications

,NR565 Advanced Pharmacology Fundamentals Exam 2024-2025
Question and correct Answer/already graded A+
-potentially Inappropriate Medication (PIM) use in older adults

-potentially Inappropriate Medication (PIM) use in older adults due to medication-disease or
medication-syndrome interactions that may exacerbate the disease or syndrome

-medications to be used cautiously in older adults

-clinically significant drug interactions that should be avoided in older adults

-medications to be avoided or dosage decreased in the presence of impaired kidney function in older
adults - answer>>Beers Criteria



when one medication systemically alters the potency of another medication. -
answer>>Pharmacokinetic Interactions



result of a change due to one medication's effect on another medication's route of entry into the body. -
answer>>Absorption Interaction



caused by the amount of unbound/free medications available at the various target sites. -
answer>>Distribution Interaction



concentration of the medication after biotransformation into active and inactive metabolites in higher
or lower than expected. - answer>>Metabolism Interaction



the body's ability to eliminate medications in pure form or by altering a metabolite from the body. -
answer>>Elimination Interaction



does not alter or impact absorption, distribution, metabolism, or elimination because of the one
medication's ability to manipulate the effect of another medication at its site of action -
answer>>Pharmacodynamic Interactions



refers to the nurse practitioner's ability to practice without physician oversight - answer>>Practice
Authority



refers to the nurse practitioner's authority to prescribe medications. - answer>>prescriptive authority

, NR565 Advanced Pharmacology Fundamentals Exam 2024-2025
Question and correct Answer/already graded A+
Nurse practitioners have the autonomy to evaluate patients, diagnose, order and interpret tests, initiate
and manage treatments and prescribe medications, including controlled substances without physician
oversight. - answer>>Full-practice scope



Nurse practitioners are limited in at least one element of practice. The state requires a formal
collaborative agreement with an outside health discipline for the nurse practitioner to provide patient
care. - answer>>Reduced-practice scope



Nurse practitioners are limited in at least one element of practice by requiring supervision, delegation,
or team management by an outside health discipline for the nurse practitioner to provide patient care. -
answer>>Restricted practice scope



DEA Scheduled Drugs - answer>>Drugs that cannot be ordered via E-Script



Schedule II drugs - answer>>Drugs that cannot be prescribed or refilled via phone



An occurrence of fewer than three months and is often precipitated by trauma and acute medical
conditions or treatment. - answer>>Acute Pain



Referred Pain

Acute Somatic Pain

Acute visceral pain - answer>>Types of Acute Pain



episode of pain that lasts for 6 months or longer; may be intermittent or continuous - answer>>Chronic
pain



pain that is felt in a location other than where the pain originates - answer>>Referred Pain



-Arises from connective tissue, muscle, bone and skin.

-Sharp and localized or dull and non-localized

-Responds best to: acetaminophen, corticosteroids, NSAIDs, opiates, local anesthetics, ice, massage -
answer>>Acute Somatic Pain

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